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Time In: 3.16 pm <br /> Time Out: 3:36 om <br /> �...Q .. C San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: FAMILY DOLLAR#716619 Date: 03/21/2018 <br /> Address: 66 S WILSON WAY, STOCKTON 95205 <br /> Requestor: MICHAEL MCFADDEN, GLASSMAN PLANNING ASSOCIATES Telephone: (757)321-5265 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0078084 <br /> Inspection Type: 523-Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink-- 120.00°F 6 dr reach in cooler--41.00°F <br /> NOTES <br /> This is a final for a new facility plan check <br /> -Sheet vinyl flooring with 3/8"coving in the restrooms and around the mop sink <br /> -Coolers and freezers are self contained <br /> -Water heater: Bradford electric, 28 gallon,4.5 KW <br /> Ok to issue permit after the fee of$270 is paid. PE: 1618 <br /> Report emailed <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> VV"^°''v <br /> Received by: Name and Title: amado garcia, Superintendent <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> SR0078084 SC523 03/21/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />